OBSintermediate
A patient is diagnosed antenatally with vasa praevia. Which delivery plan is advised in the lecture?
Answer
Elective caesarean delivery at 35 weeks
Explanation
The lecture states that the **best prognosis** for vasa praevia is in patients diagnosed antenatally and advises elective delivery by caesarean section at **35 weeks**. Waiting until membrane rupture risks fetal haemorrhage; the lecture notes high fetal mortality when vasa praevia is first diagnosed classically at rupture of membranes and recommends emergency caesarean in that situation.\n\n**Key takeaway:** Antenatal recognition permits planned caesarean delivery before membrane rupture.\n\n**Glossary:** **Vasa praevia**: Fetal vessels lying in the membranes near or over the cervical opening; **elective**: Planned rather than performed as an immediate emergency.
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